BMCH2016-024644P.
78-495 CALLE TAMPICO C O D 0914&
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0246
Property Address: 78375 VIA SEVILLA
APN: 604202002
Application Description: HARTIGAN RESIDENCE / HVAC REPAIR
Property Zoning:
Application Valuation: $1,062.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362 u 01N OE QENNpE Ag1PAENT
GOt��
LICENSED CONTRACTOR'S DECLARATION'
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20; C36 License No.: 686310
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a.te: % Contractor: S"1L
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale..
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or. improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.):
(_) I, as owner of.the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s).licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. . B.&P.C. for this reason
Date
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/6/2016
Owner:
BEVERLY HARTIGAN
78375 VIA SEVILLA
LA QUANTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code; for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number:
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
_- J .
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Date: (e 1(B Ap'plicant: �'�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000): IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE. LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to,
the conditions and restrictions set forth on this application:
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit .
issued as a result of this application ; the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
tanature.(Applicnt6r Age, ;E7Da '
DESCRIPTION ~ACCOUNT;. QTY' i AMOUNTS ; :PAID DATE-
}, m;-'PAIDd
.BSAS SB1473 FEE ''
101-0000-20306
0
$1..00
$0.00
PAID BY "
METHOD
�B;RECEIPT#,t
CHECK#•..`
CLTD BY,;.
<� t -x
h
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
, " $ DESCRIPTION
�;.
= 'ACCOUNT *-,� ��.�QTY::?
P AMOUNT
i, ' P ID ,
DATE
,, .,''PAID
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
.$12.09
$0.00 ,
' ;PAID BY ..rip.ffiMETHOD
$RECEIPT#,
LHECK # '
�CLTDBY,`°
s
ACCOUNT# :•
QTY
AMOUNT.,
•.
>PAID
PAID DATE.
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600. '
0 -
$4.83
:$0.00
s t�PAID BY t'METHOD
-
'-' RECEIPT #
BY•
s..
g
F:CLTD
Total Paid for MECHANICAL: $16.92 $0.00
^` DESCRIPTION ."'
ACCOUNTS
QTY
PAID DATE;
,A"AMOUNT=`''N�"PAID='
PERMIT ISSUANCE 5
101-0000-42404
0
$91.85
$0.00
METHOD
RECEIPT#
CHECK# F°CLTD
BYx,z
r
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
$i09.77 $0.00
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Description: HARTIGAN RESIDENCE / HVAC REPAIR
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/6/2016 MFA
Approved: 7/6/2016 MFA
Parcel No: 604202002 Site Address: 78375 VIA SEVILLA LA QUINTA,CA 92253
Subdivision: TR 23971-1 Block: Lot: 66
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,062.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CONTRACTOR HARRISON ENTERPRISES.INC DBA 31170 RESERVE DRIVE
GENERAL AIR
Details: HVAC - REPLACE COIL ONLY - [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER
2013 CALIFORNIA BUILDING CODES.
a FINANCIAL INFORMATION
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NAf1lIETYPEa.;. 4- ADDRESSl,_.,PHONEa
APPLICANT IE INC 31225 LA BAYA
WESTLAKE
VILLAGE
CA 91362
(760)772-5561
CONTRACTOR HARRISON ENTERPRISES.INC DBA 31170 RESERVE DRIVE
GENERAL AIR
THOUSAND
PALMS
CA 92276
(760)772-5561
FRANCISCO@CALLTHE
GENERAL.COM
OWNER BEVERLY HARTIGAN 78375 VIA SEVILLA
LA QUINTA CA 92253
(760)772-5561
a FINANCIAL INFORMATION
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Printed: Wednesday, July 06, 2016 9:20:04 AM 1 of 2
- - SYSTEMS
DESCRIPTION,
-` ACCOUNT
QTY
. AMOUNT
PAID
PAODATE,
RECEIPT#
Q -CHECK#
d METHOD
PAID `
CLTD
4.
..:
BSAS SB1473 FEE
101-0000-20306
0,
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
APPLIANCE
101-0000-42402
0
$12.09
$0.00
REPAIR/ALTERATION
APPLIANCE
101-0000-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
"
Total Paid for MECHANICAL: $16.92 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00 '
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INSPECTIONS
_.-------
:. PARENT PROJECTS
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.,. }RETURNED, ,y ,STATUS,.REMARKS, �s Q�.._ .
REVIEW T1fPE.' , REVIEWER SENT=DATE -, DUE DATE.- .. �_ _ u ra�.x " ; ;. `��-. ,..NOTESt :; _ `' °;
,..�:_ .,...`.=.. sa, `=.� W.x...�'..�..:"€+ � " w.w ., `�,::. ,.� g •tea... � baa DATE
BOND INFORMATIM
ATTACH
Printed: Wednesday, July 06, 2016 9:20:04 AM — _ 2 of 2 -
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.0ty of a Quinti
Building 8L Sarety Division
/ - P.O.. Box 1504,78-495 Calle Tampico
La..Quinta, CA 92253 - (760) 777-7012
Building Permit:Application and Tracking Sheet
Permit #
G
ProjectAddress: 78375 Via Sevilla
Owner's Name:. Beverly Hartigan
A P. Number.
Address: 78375 Via Sevilla
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. General Air Conditioning
Telephone:' 760-772-.5561
Address: 31170 Reserve Drive
ProjeaDescoption: Replace Ston Coil
City, ST, Zip: Thousand Palins, CA 92276
Telephone: 760-343-7488
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City Lic. 9,
State Lic. # : 686310
Arch., F,ngr., Designer.
Address:
City., ST, Zip:
Telephone:
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State Lia #: Tw�y r�
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo.
Ft.: #Stories: # Units.-
Name of Contact Person: Steven SchniererSq.
Telephone # of Contact Person: 818-73577876
Estimated Value of Project: $1,062.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
# -
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Giading plan
2'd Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
Shu
H.O.A. Approval
Plans resubmitted
Grading
E4 HOUSE-.-
'"' Review; ready for correctionslissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permlt Issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
Enforcement•Agency:
Date Prepared:
Permit#:
78375 Via Sevilla
City Of La Quinta
July 6, 2016
'Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged
REvaporator Coil
AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
Setback
System
❑ Condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
2700 sqft
(If not already
❑ Split System
❑ Compressor
SEER
HSPF
❑ R-6 (all CZ's) Plenums
present, must
❑ Mini Split
❑ Linesetbe
EER
❑ R-5 or R7.5) Lineset°
installed)
❑ Furnace
❑ TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
P(1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CF1R-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)Z -HERS, MECH-25-HERS1
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Air Handler/Furnace2 (Can include new ducting)
Installer Requirement: Duct leakage (: 15%, or < 10% to outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ........ I
❑ 2. New HVAC System
Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts'
CFIR-ALT-02-E
including Mini Split
CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
All New Ducts3 and one or more of the following
CFIR-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: MECH-03, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet
Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts3
CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (: 15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc.
Z Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
3 All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.S" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%", 2.5 -3T -2Y.", 3.5 to 4T-2%", 5T-4%."
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information•provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or
system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the CCR.
5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Responsible Designer Name:
Responsible Designer Signature:
Date Signed:
License:
Steven Schnierer
�'yL �'�
July 6, 2016
686310
Company:
Address:
City/State/Zip:
Phone:
General Air Conditioning
31170 Reserve Drive
housand Palms, CA 92276
760-343-7488
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300